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Nicole Russo DDS LLC — NPI 1205715182, Metairie, LA | NPI Central

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Nicole Russo DDS LLC

NPI 1205715182 · Public Health Dentistry · Metairie, LA

Provider details

NPI number: 1205715182
Entity type: Organization
Primary specialty: Public Health DentistryDental Providers
Organization subpart: No
Authorized official: Nicole Russo, Owner/Dentist(504) 454-7008

Specialties & taxonomies

Public Health DentistryPrimary1223D0001X
Dental Providers

Practice location

4520 Clearview Pkwy

Metairie, LA 70006-2308

Phone: (504) 454-7008

Fax: (504) 456-7308

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

4520 Clearview Pkwy

Metairie, LA 70006-2308

Other names (DBA / former)

Doing business as: Russo Family Dentistry and Aesthetics

Registry dates

Enumerated: 2025-08-27
Last updated: 2025-08-27
Certified: 2025-08-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.